Idaho
Division of Occupational and Professional Licenses
JENNIFER LORENZANA OBLANCA
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 411
Date granted
07/13/2005
Date expires
10/18/2014
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
COLORADO SPRINGS CO 80923
idaholicensing.com
ID 43734367
LAST UPDATED 2024-01-25 04:23:07 UTC
LAST UPDATED 2024-01-25 04:23:07 UTC
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